NPI | 1770508400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 229040) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229040) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-11-09 |